Muhammad Salman Bashir’s research while affiliated with University of Health Sciences Lahore and other places

The quasi-experimental study was conducted at the Allied Hospital, Faisalabad to investigate the effect of complex decongestive physical therapy on sensory testing in post-mastectomy-related lymphoedema patients. The sample comprised 18 participants enrolled using convenience sampling technique. All the participants received complex decongestive physical therapy during 5 sessions per week for 3 weeks. The intervention comprised manual lymphatic drainage, multi-layered compression bandages, skin care and patient-oriented exercises for breast cancer-related lymphoedema. Upper limb circumference of the subjects was measured, while two-point discrimination test, pressure pain threshold test and tactile localisation test were also conducted. Complex decongestive physical therapy showed a significant difference in pre- and post-intervention values (p<0.05). Complex decongestive physical therapy was found to be effective in improving sensory perceptions, like discrimination, tactile and pain pressure threshold, as well as oedema. Key Words: Compression bandages, Mastectomy, Quality of life, Range of motion, Breast cancer lymphoedema.

Objective: To attain the information of frequently increasing anorexia nervosa among female university students of Lahore, Pakistan. Methodology: This study was a cross sectional survey conducted from January to August 2018 and included female students of University of Lahore, University of South Asia and Riphah International University, Lahore. Hostilities and day scholars at the age of 19 years to 30 years were included in the study. Students with rheumatoid arthritis, diagnosed psychological disorder and any other neurological disorder were excluded from the study. Non-probability convenience sampling technique was used. Eating attitude test (EAT-26) was used to collect the data which comprised of 26 questions. Results: The average age of the participants in the study was 22.21±2.356. Among them 42.59% were anorexic. In day scholars, 20.37% were anorexic and in hostilities, 22.22% were anorexic. In hostilities, 35.19% had no symptoms, 17.59% had mild symptoms, 4.32% had moderate symptoms and 0.31% had severe symptoms. In day scholars, 21.91% had no symptoms, 17.90% had mild symptoms, 2.47% had moderate symptoms while 0.31% had severe symptoms. Conclusion: Most female university students at mean age of 22 had symptoms of anorexia nervosa. Its prevalence was high in hostilities as compared to day scholars.

Objective: To determine the effects of mobilization with movement and Maitland grade III mobilization on pain and physical function in plantar fasciitis. Methodology: This randomized clinical trial used convenient sampling. The sample size was 16. Patients were assigned randomly in group A and group B by computer-generated random number table. The group A was treated with mobilization with movement, gastrocnemius stretching, stretching of plantar fascia and ultrasound therapy. The group B was treated with Maitland grade III mobilization, gastrocnemius stretching, stretching of plantar fascia and ultrasound therapy. The treatment was given for a total of 4 weeks two sessions each week. NPRS and FAAM were used for measuring pain and physical function. The outcome measure was recorded at baseline and after 4 weeks. Results: The difference between the two groups was not statistically significant (p>0.05). The difference within a group was statistically significant and shown an improvement (p<0.05). Conclusion: Mobilization with movement and Maitland grade III mobilization were equally effective for reducing pain and improving physical function in plantar fasciitis.

Background: In neck related problems, limited cervical ranges are considered a major contributor leading to forward head posture and increased disability. Methodology: The study design was a randomized clinical trial. Total of 50 subjects were recruited that fulfilled the selection criteria. Subjects were divided into two groups. Craniocervical flexion exercises group A (n=25) and Scapular stabilization exercises group B (n=25). Numeric Pain Rating Scale (NPRS) and Neck Disability Index (ND1) were subjective while the goniometer and plumb line were used as objective modes of assessment. Baseline and after 4 weeks of treatment values were assessed by using SPSS 21. Results: Both groups showed improvement in plumb line values, forward head posture and cervical spine mobility. NPRS, and NDI score values after the 4-week exercise program showed significant results (p-value<0.05). Outcomes except for plumb line value and NDI score indicated statistically significant improvement in the Craniocervical flexion exercise group than the scapular stabilization exercise group (p-value<0.05). However, in NPRS no statistical difference (p-value>0.05) was found between the two groups. Conclusion: Only females were recruited. Further studies can correlate with spatiotemporal features. The idea and conceptual framework were original. Keywords: Head posture, craniocervical, flexion exercises, scapular stabilization exercises, range of motion, plumb line, neck disability index, goniometer, numeric pain rating scale, craniovertebral angle.

Objective: To determine the effect of Mechanical cervical traction and Laser therapy along with isometric neck exercises in cervical radiculopathy patients. Study Design: Quasi-experimental study. Place and Duration of Study: Kannan Physiotherapy and Spine Clinic, Lahore Pakistan, from Jul to Dec 2020. Methodology: The study included cervical radiculopathy patients with symptoms for over two weeks. The diagnosis was confirmed by the orthopaedic department. The subjects were allocated to two equal groups by lottery method. Group-A Received Laser therapy with isometric neck exercises, and Group-B received mechanical traction with isometric neck exercises. The neck disability index, numeric pain rating scale and patient-specific function scale were used to collect data, which was analyzed using SPSS-22. Results: Out of the 128 patients, 64(50%) were in each of the two groups. The overall mean age was 41.95±36.50years, and 76(59.4%) participants were male. After three weeks of treatment sessions, statistically significant improvement was found in decreasing pain within group B having mechanical traction along isometric neck exercises (p<0.05). Conclusion: Our study concluded that both treatment techniques, Laser therapy with isometric neck exercises and mechanical traction with isometric neck exercises, effectively decreased pain; however, mechanical traction with isometric neck exercises was superior.

Objectives: To determine the impact of Kendall versus Gong’s intervention according to pain sensation, range of movement, function, strength, and posture in cases with text neck syndrome. Methods: This randomized clinical trial recruited a sample of 24 patients with text neck syndrome from Fatima Hospital, Sargodha, Pakistan from January to April 2021. The samples were randomly divided into 2 groups using the envelope method. Group A received Kendall’s intervention while group B received Gong’s mobilization. The intervention was performed in 18 sessions for each patient during 6 weeks i.e. 3 per week. Neck disability index, numeric pain rating scale, cervical range of motion (ROM), cranio-vertebral angle (CVA), rounded shoulder angle (RSA), and modified sphygmomanometer test were used to collect data. All outcomes were measured at baseline and six weeks after intervention and analyzed using SPSS software, version 23. T-test was used to analyze within and between-group differences, and P<0.05 was considered significant. Results: A significant difference with P<0.05 was observed for within and between group statistics. Gong’s mobilization showed more effectiveness (P<0.001) for all output measures depending on differences between mean scores. Discussion: The study concluded that both Kendall’s exercise and Gong’s mobilization were useful in the reduction of pain and functional disability; improvement in cervical range and strength of cervical muscles. However, Gong’s mobilization was superior to Kendall’s exercise in improving text neck syndrome for outcome measures, including neck pain, disability, craniovertebral angle, rounded shoulder angle, cervical range of motion (ROM), and cervical muscle strength.

Background: Lumbar disc herniation is a common musculoskeletal disorder leading to spinal degeneration. Core stability influences lumbar biomechanics, which improves muscle endurance through decreased pain of the lower back leading to minimal chances of disability. Objective: To determine the effects of Core stabilizing exercises on low back pain, disability and endurance of back muscles in Lumbar Disc Herniation patients. Methods: Randomized controlled trial was conducted on 52 patients . it was conducted 3 times a week for 30 minutes for 6 months. Participants allocated into two equal groups by lottery method. Group A was treated with controlled conventional treatment and core stabilizing exercises. Group B received only conventional treatment. This information was collected using NPRS and ODI. Besides this Biering-Sorenson and trunk flexion endurance tests were used. Probability sampling was used .Settings included AMTH, PSRD and NHMC. The study was conducted for 6 months. Ethical permission by ethical review board. data analysis by SPSS. This included male and female patients, age 20 to 60 years with disc herniation. Participants with recent surgery, inflammatory arthritis, cauda equina syndrome and spinal tumor were excluded. Results: After 8-weeks of core stabilization exercises, values of Group A are 1.93 for pain, 16.08 for disability, 1.27 and 40.54 for endurance whereas Group B showed values of 4.74 for pain, 34.08 for disability, 2.15 and 34.81 for endurance. Independent t-test showed significant difference between 2 groups with p value < 0.05. Results of current study showed considerable reduction in low back pain and disability, and a significant increase in back muscles endurance in the treatment group. Conclusion: Core stabilization exercises were effective in improving function, reducing pain, reducing functional disability and enhancing endurance in patients of lumbar disc herniation and lower back pain

Background: Adolescent smartphone users have developed a variety of musculoskeletal conditions due to their use of smartphones. ELDOA (Elongation longitudinaux avec decoaption osteo-articulaire) is based on maximizing facial and spinal stretching by assuming specific posture for 1 minute and post facilitation stretching is also a type of muscle energy technique that is used for chronically shortened or tight muscles. This aimed to compare the effects of post-facilitation stretching technique and ELDOA on neck pain and functional disability in mobile users experiencing Text neck syndrome during COVID-19. Methods: This single-blinded randomized control trial with a parallel group design was conducted at the Department of Physiotherapy Safi Hospital (Faisalabad, Pakistan) from September 2021 to April 2022. Forty smartphone users between the ages of 18 and 35 who had a Neck Disability Index score of >10 due to neck pain without unilateral arm symptoms participated in the study. Of the 40 participants, twenty were randomly assigned to the ELDOA group and twenty were assigned to the post facilitation stretching group, and each group received 3 weekly sessions of treatment for 6 weeks. The Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), and Smartphone Addiction Scale (SAS) were used to measure pain intensity, functional disability, and smartphone addiction at baseline and after 18 sessions of treatment. SPSS version 22 was used to enter and analyze the data. To find comparisons between groups an independent sample t test was used, and a paired sample t test was used to find the difference within each group. Results: Post-treatment values showed statistically significant difference between groups. ELDOA group showed greater improvement in pain (P < .03) with 95% CI [-1.33, -0.068] and functional disability (P < .05) with 95% CI [-4.44, 0.143] at 6th week. There was no statistically significant difference (P = .35) with 95% CI [-28.6, 10.4] between the two groups regarding smartphone addiction. The NPRS, NDI, SAS scores were significantly different within each group with P < .05. Conclusion: The study concluded that ELDOA method and post-facilitation stretching both were effective in treating neck pain and functional disability. However, ELDOA method was superior to post-facilitation stretching effects on neck pain and functional disability among patients with text neck syndrome.

Background: Lateral epicondylitis is an overuse injury involving the origin of common extensor tendon at elbow joint. Among computer users there is common complaint in neck, elbow and wrist region pain. Objective: The objective of this study was to determine the prevalence of Lateral Epicondylitis in those individuals who used computer from last 1 year and duration of computer usage was about at least 4-6 hours per day. Methodology: This was a cross sectional study. Through convenient sampling data was collected from 296 office workers, bankers and students in Lahore city. Age of respondents between 18-45 years. In this study those students and professionals were included who used computer continuously more than 4 hours/day. No past history of elbow fracture, olecranon bursitis and, neuritis was present. A well-defined questionnaire; Patient-Rated Tennis Elbow Evaluation (PRTEE) was used. Cozen test was performed to confirm the pain on lateral side of elbow. Results: 26%prevalence of lateral epicondylitis among computer users. It was observed the right elbow was dominantly involved students 93(58%) office workers 20(48.8%) and bankers 44(46 %.). Location of symptom was more prominent in right elbow (103) and in those individuals whose sitting time with computer at least 4-6 hours per day. Conclusion: The study concluded that prevalence of Lateral Epicondylitis common in computer users. This study showed that pain was more prominent in right elbow.